Organization
DELORA A. DENNEY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELORA ANN DENNEY MD (PARTNER, CO-OWNER)
(601) 798-5281
Entity
Organization
Contact information
Practice address
12 MEDICAL PLAZA BLVD, SUITE B, PICAYUNE, MS 39466-9197
(601) 798-5281
(601) 799-5778
Mailing address
12 MEDICAL PLAZA BLVD, SUITE B, PICAYUNE, MS 39466-9197
(601) 798-5281
(601) 799-5778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13824
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114295
—
MS
Enumeration date
12/05/2010
Last updated
05/03/2017
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